NPIMap

Organization Active NPI

Regional Brain Institute PLLC

  • Neurology Physician
  • Tulsa, OK
National Provider Identifier
1356811764
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
REGIONAL BRAIN INSTITUTE PLLC
Practice address
6120 S Yale Ave Ste 1210
Tulsa, OK 74136-4234
Phone
(918) 888-5211
Fax
(918) 888-5270
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel Clancy
Title
Attorney
Phone
(918) 430-4505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

6120 S Yale Ave Ste 1210
Tulsa, OK 74136-4234

Mailing address

6120 S Yale Ave Ste 1210
Tulsa, OK 74136-4241
Phone (918) 888-5211

National Provider Directory

National Provider Directory

Locations

100 W 5th St
Ste 1100
Tulsa, OK 74103

6120 S Yale Ave
Ste 1210
Tulsa, OK 74136
Phone (918) 885-2118

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1356811764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S YALE AVE STE 1210",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364241",
            "telephone_number": "918-888-5211",
            "fax_number": "918-888-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 S YALE AVE STE 1210",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364234",
            "telephone_number": "918-888-5211",
            "fax_number": "918-888-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL BRAIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "918-430-4505"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.